I think you missed my point. with this condition- for me- i have to be much more mindful about spiking my blood pressure by doing things that in th e past i didnt give a second thought to. for example, i still have to lift my luggage into the trunk of my car- and generally i would lift it to put it on a luggage rack in my hotel room. i am capable of doing both easily- but now I am much more careful about how i do it. i slide it up and keep it close to my body and do it slowly and breathe deeply. I’m a big physically fit guy, and the exercise physiologist made it clear to me that i need to get comfortable saying, “ i can’t help move the couch- I have an aneurysm in my heart and i cant spike my blood pressure.”. He says that many patients he works with are embarrassed and just so things like that to avoid looking lazy. the real point is that Many of is can exercise somewhat vigorously and raise out blood pressure- bit we cant do things that cause it to spike or cause sudden increased pressure on the aorta.